DR. SHAHROZ KIDWAI (M.D.) – Emergency Medicine Physician, NPI 1013200062

DR. SHAHROZ KIDWAI (M.D.) is a healthcare provider. based in Corsicana, Texas. specializing in FAMILY PRACTICE, EMERGENCY MEDICINE. They hold the professional credentials M.D.. They hold a License No. Q1433 (TX). The NPI Number for DR. SHAHROZ KIDWAI (M.D.) is 1013200062

Main info

Male
Sole Proprietor
15 Years Of Experience
Accepts Medicare Assignment
Name
DR. SHAHROZ KIDWAI (M.D.)
NPI
1013200062
Phone
(903) 872-6065
Address
3201 CORSICANA CROSSING BLVD
Enumeration Date
24 May 2011
Last Update Date
9 November 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2142652810
Graduation Year
2011 (15 years ago)
PAC ID
7618193871
Group Practice PAC ID
6406151703
Professional Enrollment ID
I20150121000151
Address ID
TX752310802DA9301X1000501
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience73
Completeness75
Years active:15State licenses:2Digital endpointsOther names

8,730 FAMILY PRACTICE in TX

Provider Addresses for DR. SHAHROZ KIDWAI (M.D.)

  • 3201 CORSICANA CROSSING BLVD

    SUITE 101

    CORSICANA, TX 75109

    Phone: (903) 872-6065

    Fax: (903) 641-0516

    Type: Mailing

  • 1321 W 2ND AVE

    SUITE 100

    CORSICANA, TX 751103798

    Phone: (903) 874-9206

    Fax: (903) 874-4234

    Type: Location

  • 10205 Quaker Ave

    Lubbock, TX 794248444

    Phone: (806) 368-8606

    Fax: (806) 701-4036

    Type: Location

  • 7905 Milwaukee Ave

    Lubbock, TX 794240616

    Phone: (806) 368-5837

    Fax: (806) 368-5852

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2020-06-03

PECOS data refreshed: 2026-06-15

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 3 Medicare enrollment records; no due dates published yet.

Enrollment records

3

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20140723002142IFamily PracticeNMTBD
I20150121000151IFamily PracticeTXTBD
I20200603000873IFamily PracticeFLTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99284Emergency department visit with moderate level of medical decision making6462$0
99285Emergency department visit with high level of medical decision making3130$0
View full utilization report →

Insurance plans in this area (ZIP 75109)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 6406151703View full group profile

Reviews

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Frequently asked questions

What is the 10-digit NPI for DR. SHAHROZ KIDWAI (M.D.)?
DR. SHAHROZ KIDWAI (M.D.) — NPI 1013200062 — is the standard way to identify this listing.
Does CMS list DR. SHAHROZ KIDWAI (M.D.) as active?
Yes — DR. SHAHROZ KIDWAI (M.D.) is active in the NPI listing used on this page.
What is DR. SHAHROZ KIDWAI (M.D.)'s primary classification?
Emergency Medicine Physician is the headline specialty for DR. SHAHROZ KIDWAI (M.D.) here. Clinical services aligned with this taxonomy classification.
Does DR. SHAHROZ KIDWAI (M.D.) list a practice location?
Patients near Corsicana, Texas may find DR. SHAHROZ KIDWAI (M.D.) in results; validate coverage separately.
Is the information about DR. SHAHROZ KIDWAI (M.D.) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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